Salud Para Todos Evaluation

Salud Para Todos is a health promotion program funded by the Office Of Minority Health to Campesinos Sin Fronteras (CSF), located in Somerton, Arizona.  In partnership with Sunset Community Health Center (SCHC), also a CRCPHP partner, SPT incorporates four strategies to promote chronic disease prevention to farmworkers and their families, 1) outreach and education in agricultural workplaces; 2) family health promotion education in a 12 week curriculum 3) parent leadership and advocacy training  and 4) building bridges between the community and the community health clinic to improve access to care.  The Mel and Enid Zuckerman College of Public Health provides technical assistance in all aspects of the program and oversees evaluation activities.  MEZCOPH, CSF and SCHC have engaged in participatory evaluation of the family health curriculum using pre/post tests, the parent leadership curriculum using retrospective pre tests and indepth interviews; and improved access to care through cultural competency training evaluation and patients satisfaction surveys.  In addition MEZCOPH worked collaboratively with CSF to finalize the leadership and advocacy curriculum.

Salud Sí Evaluation
Salud Sí,  a health promotion program targeting Mexican American women of child bearing age, was developed by the Mariposa Community Health Center (MCHC) Platicamos Salud Program.  Salud Si was initiated in 2000 through funding from the Health Resources Services Administration Bureau of Maternal and Child Health and has been maintained through other funding sources. Salud ¡Si! is  a 12-week program designed to promote positive health behavior changes with regard to healthy weight,  physical activity; consumption of fruits and vegetables, stress reduction and smoking cessation.  Salud ¡SI! utilizes a neighborhood-based approach coupled with small group sessions led by Promotoras de Salud, or community members who reflect the cultural, linguistic and socioeconomic characteristics of the targeted community.  The Salud ¡Si! curriculum includes nutrition education among participants on nutritional value of foods, 5-a-day concepts, salt intake, label reading, types of fat, cholesterol, milk products and healthy eating on a limited budget with emphasis on healthy weight.  In addition, the promotoras also help participants to identify personal stressors and strategies to reduce or prevent stress in their lives.    To facilitate the ability of women to create a physical activity routine, MCHC provided yoga and body sculpting classes two or three times a week.  The Mel and Enid Zuckerman College of Public Health has been a partner to Salud Si since its inception, providing technical assistance in the development of the program and overseeing the evaluation process.  Self reported improvements in health behaviors coupled with improved physiological markers contributed to Salud Si becoming a model program.  Currently, MEZCOPH is assisting MCHC in evaluating the long term impact of the classes by interviewing women who took part in the classes over a year ago.

Mariposa Community Health Center Healthy Start Evaluation
The purpose of this contract is to provide technical assistance in program development and evaluation to the Mariposa Community Health Center (MCHC) in the development and implementation of Healthy Start, a promotora-based perinatal program. MEZCOPH assists with program development, conceptualization and realization of process and outcome evaluation, instrument development, data analysis and reporting. Activities include: Oversight of implementation of the evaluation plan, instrument development, data collection and management, and analysis and reporting; Development of a client database, staff training on data entry and data management, and ongoing maintenance of data management system.

Arizona Coordinated School Health
The Arizona Department of Education, in partnership with the Arizona Department of Health Services, was awarded funding by the Centers for Disease Control and Prevention’s Division of Adolescent and School Health in 2003 to promote Coordinated School Health in Arizona with a special emphasis on physical activity, nutrition and tobacco. The goals of the AzCSHP are to build infrastructure and capacity at the state, school, and community levels for Coordinated School Health, provide professional development opportunities, and to reduce health disparities amongst Arizona’s youth. The Center is a technical assistance and evaluation partner, contributing to strategic planning, work plan activities, professional development efforts, dissemination of surveillance data, and conducting local evaluation, as well as collaborating on technical assistance to schools and communities.

Arizona Diabetes Prevention and Control Program, Community Grants
The Center has conducted recent evaluation activities for the Arizona Healthy Worksites website and resource guide, the distribution of A Roadmap to Taking Care of Your Diabetes patient toolkit, and community mini-grants. In 2008, in partnership with the Arizona Diabetes Prevention and Control Program, the Center administered 2 community grants for diabetes education. The Mt. Graham Diabetes Continuum of Care Partnership and Mariposa Community Health Center’s Gestational Diabetes Curriculum for Promotoras are currently in their second year of funding, focusing on evaluation and dissemination activities. The Center oversees the grants while providing assistance on evaluation and project planning.

First Things First Yuma Public Health Services District, Parent Education
As part of First Things First efforts in Yuma County, the Yuma County Public Health Services (YCPHSD) was awarded funding to conduct outreach and education to parents of children ages 0 -5.  The YCPHSD will provide education in homes and in the community setting. The Center is conducting technical assistance and local evaluation for this project.

Yuma Tobacco and Asthma Coalition
The Yuma Tobacco Coalition and the Asthma Special Action Group joined efforts and became the Yuma Tobacco and Asthma Coalition (YTAC) in 2008 to focus on respiratory health of community members in Yuma County, with a special focus on children. The YTAC functions as a collaborative network of stakeholders, and projects include the Flag Program, asthma camp, and tobacco prevention and education. The Center provided technical assistance and evaluation to the Asthma SAG as part of the Steps to a Healthier Arizona Initiative (2003-2008), and is currently a YTAC partner assisting with transitioning, action planning, coordination, and process evaluation.

Life Enhancement Program Pilot at Urban Health Plan, Bronx, New York
The Canyon Ranch Institute is piloting a community version of the Life Enhancement Program with partners at Urban Health Plan in the Bronx, New York.  The program consists of 2 sessions a week for 6 weeks, and includes a pre-program and 3 month follow up with a primary care provider, nutritionist, physical therapist, and behavioral specialist. The Center is providing evaluation consultation and data analysis for this project.